[Variants in the distribution of the vertical reflux of blood through the pelvic veins and the routes for its transmission to the veins of the lower extremities in patients with varicose veins].

An analysis of complex clinical and phlebographic examinations of 60 patients with the varicose disease has been made. Twelve variants of ways of spreading vertical reflux of blood along the pelvic veins have been established and two ways of its transmission to the lower extremity veins: a direct way of reflux from the iliac to femoral vein and an indirect ways of reflux--from tributaries of the iliac vein to those of the femoral vein. To eliminate the direct reflux the operative correction is necessary of the valve of the common femoral vein located inferior to the inguinal ligament. For patients with the indirect way of reflux ligation of the injured communicating veins of the gluteal area and femur, dissection of the varicose external labial veins are indicated.